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ShelliMedz

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ShelliMedz last won the day on October 13 2013

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    Physician Assistant

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  1. I've only been a dermatology PA for a year now, but aside from not knowing about the PTO, retirement and liability, it seems like you might be dealing with a pretty rational group considering some of what they are offering. Then again, I work in Florida where the goal seems to be to take advantage of PAs. It seems as if you are new to derm, if so, the salary is not unreasonable, especially if you will be doing procedures (excisions, edcs, etc). Procedures boost your collections and bonus big time. It will take you a little while to be comfortable with performing these and seeing general dermatology patients so, for some time, you will be being paid decently just to learn. The CME money is pretty good compared to what I'm used to seeing which is closer to $1500. As far as the bonus, that is a standard way of dishing out bonus, 25% of collections after subtracting 2x your salary. Actually, for newer PAs they sometimes start with an even lower percentage and a lot of the times, they don't start giving a bonus until after a year. For example: my first derm job I started collecting bonus after 6 months, I collected around $87000, in my first 5 weeks of bonus eligibility working around 32 hours a week and seeing 20-25 patients a day. Using your potential employer's calculation this would have given me a $17,000+ bonus (in just 5 weeks), of course the govt. will take 25% of that. I work in a very procedure heavy derm practice, so your experience may differ. *****I would definitely push for being able to at least do your own excisions because that will bring in a lot of income for you and the practice and also will be handy if you ever need to move on.***** As you can see, the bonus can be a big increase to your salary, one that PAs in most other specialties don't have. You didn't mention how many days/ hours a week you'll be working, both of my dermatology jobs have been less than 40 hours a week, this also factors into how "fair" your base salary is. I would request at least 3 weeks PTO and 1 week for CME plus paid holidays. They need to cover your malpractice, also ask them to cover your professional memberships at least SDPA. Relocation is probably not too common with dermatology jobs just because there is a line of PAs willing to take this opportunity, because it is hard to get into dermatology in most states. Ask them about retirement, I won't say it's acceptable, but a lot of companies don't offer 401k. My personal opinion is that you should see what you can do to increase the value of your offer, if you don't get much of what you're asking for then ask for an increase in starting salary and see what happens. If dermatology is not hard to get into where you're at, then you can take your chances on finding another job, but if it's what you really want I would be inclined to take this offer and get the experience. Think of it as a residency, learn what you can and then move on. My first job wasn't amazing but I love dermatology and I'm glad that I took it to get to where I am now. I agree that first and foremost you need to ask questions about these things and see if they just weren't stated. Feel free to PM me if you have any more questions. Good luck!! -Shelly
  2. I do some SRT, there is a radiotherapist that deals with the actual radiation. As providers, we just measure the treatment field and make sure it is the right location. Occasionally we suggest a stronger or weaker dose of radiation, but for the most part the radiotherapist is really good at her job with that.
  3. This isn't my first job either, I worked full time for the first almost two years of being a PA. I basically paid my bills, left enough to keep $500 in my account at all times for myself and then put the rest towards debt. It was a risky strategy because I didn't have much for emergency, I basically figured I would use my credit cards, or my mom, for emergency if need be. I just realized I was spending way more in interest than I could ever reasonably save. Fortunately, I didn't have an emergency and I don't have any dependents. I just realized that there's way more to life than working 20/30 days a month and it just doesn't feel natural for me. Maybe I'll go back to full time if my circumstances change, or if I find something I really love.
  4. Not at all, I think we should talk about money as often as possible so we know what we should be getting paid. Not saying that I'm doing anything right. I'm fortunate to be fairly debt free, I went to Miami-Dade College, one of the older PA programs that still offers an associates degree in PA studies. The program probably cost me less than $20k and I also got grants to pay for a large portion of that. Then I did a one year Masters Bridge at ATSU for around $15k that I paid for by working. I don't have any college debt or credit card debt, just mortgage and a car payment....because I just had to have the new chevy volt....
  5. I did a rotation in dermatology but I don't think it did much in the way of getting this job. The practice is in a rural area and they often hire new grads. Sometimes that's what you'll have to do if you really want something. It took me a few months of constant applying to get this job and I applied to the same job maybe three times. I found that when I resubmitted my resumes with a cover letter that was more about what I can do as opposed to how much I really wanted the job, I got much better results. I eventually got two term offers after three interviews.
  6. Hi, Late response but if you ever do read this. Maybe it will help some other person or student, so here goes. 1) I pretty much see patients alone and only get assistance from the doc if I want extra input. So, fairly autonomous overall. I've been in dermatology less than one year so it will increase with time. 2) I love dermatology, so I find it pretty stimulating. On the other hand, I see a lot of routine exams and rashes. Like pretty much any field, it can become repetitive. Occasionally you see interesting things but it's not particularly "exciting", like maybe an ER would be. I enjoy that most things in dermatology are curable/treatable. Overall people are more pleasant. I worked in pediatrics before and I loved the kids but honestly I ended up feeling annoyed with all the dramatic parents, antibiotic seeking parents and people who wanted to get over colds in 24 hours. 3) Our office does Mohs surgeries and skin cancer excisions every Tuesday morning and every other Wednesday morning, I first assist on the first stages of Mohs and then close the wounds or perform the second stages as necessary. In the afternoons (on surgery days) I usually do around 3-4 excisions and 1-2 ED&Cs. Sometimes on Fridays I may do maybe 3 excisions/ ED&Cs as well. 4) As I stated before, I love dermatology. It sounds bad, but I don't particularly like to deal with "sick" people, they're fussy and sometimes it makes me sad to see them that way. I'm glad that I worked in peds (and a little home health) before, it was a walk in clinic type situation so there was a variety of conditions and I learned a lot about primary care and the business of medicine. I would NEVER consider doing primary care with adults again, they're often noncompliant and have multiple conditions and medications. I don't think I would have regretted it if I didn't do those other jobs though. If I wasn't doing this I would probably choose plastic or bariatric surgery, maybe even urgent care, something where I could do procedures and not really have to follow patients up too often. I like treating things that I can fix, I don't like chronic disease. 5) I definitely feel like I'm doing well, it could be better, I'm a W2 employee and make $450/day plus a bonus of 10% of collections. I only work three days a week from around 9:30-4:30 (give or take). I'm still under a year in derm so I'm pretty happy with it. I make more than my last job plus I have potential for growth, I could pick up the other day and a half if I want to, but I doubt I will. 6) I think that was covered in question #5. Balance is great, even if I was full time It's only 4.5 days of work and we actually only see patients between 9:45-3:45. The rest of the time is just wrapping up office stuff, the medical assistants do almost all the charting for us in the rooms. We can come and go any time before or after the patients are there if we want to. I don't work any weekends and I take call for a month at a time, usually two months out of the year, I think the most calls I've gotten in a month might have been two or three and it's usually just silly questions. I hope this helps you in your future endeavors. Good luck to you, I know many complain but I'm glad I'm a PA and there are a lot of people out there that would kill to be in your spot so congratulation.
  7. I can't say for sure, but when I got hired for my first assistant job a few weeks ago (credentialing still), my mom who is an RN said she was told that I need to be very careful (read perfect) because black first assistants aren't treated very well in the OR. I guess we'll see, any insights?
  8. My first thought was maybe you look young. I know I look like a teenager so people never thing I'm a PA, but maybe I'm being naive lol. Once I introduce myself as a PA I will answer to nurse, doctor, miss, I stopped caring very early on, just want to get my job done. Vast majority of the time time people assume i'm a nurse because I'm a young black female. I haven't encountered any blunt racism personally but I think more age discrimination but maybe I'm mistaking one for another, who knows. My personal thoughts on racism is that if somebody doesn't want to be seen by me for any reason other than my ineptitude, who cares, let them see somebody else. You can't change ignorant people's minds overnight.
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